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AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

Guidelines for the Management of Traumatic Dental


Injuries: 3. Injuries in the Primary Dentition
Originating Group
International Association of Dental Traumatology

Endorsed by the American Academy of Pediatric Dentistry


2013

Barbro Malmgren1* Jens O. Andreasen2* Marie Therese Flores3* Agneta Robertson4* Anthony J. DiAngelis5* Lars Andersson6
Giacomo Cavalleri7 Nestor Cohenca8 Peter Day9 Morris Lamar Hicks10 Olle Malmgren11 Alex J. Moule12 Juan Onetto13
Mitsuhiro Tsukiboshi14

Abstract: Traumatic injuries to the primary dentition present special problems and the management is often different as compared with
the permanent dentition. The International Association of Dental Traumatology (IADT) has developed a consensus statement after a
review of the dental literature and group discussions. Experienced researchers and clinicians from various specialities were included in
the task group. In cases where the data did not appear conclusive, recommendations were based on the consensus opinion or
majority decision of the task group. Finally, the IADT board members were giving their opinion and approval. The primary goal of
these guidelines is to delineate an approach for the immediate or urgent care for management of primary teeth injuries. The IADT
cannot and does not guarantee favorable outcomes from strict adherence to the guidelines, but believe that their application can maximize
the chances of a positive outcome. (Dental Traumatology 2012;28:174182; doi: 10.1111/j.1600-9657.2012.01146.x) Accepted March 26, 2012

KEYWORDS: TOOTH, TRAUMA, PRIMARY, LUXATION, FRACTURE, REVIEW

1Division of Pediatric Dentistry, Department of Dental Medicine, Karo-


linska Institutet, Huddinge, Sweden; 2Department of Oral and Maxillo-
facial Surgery, Center of Rare Oral Diseases, Copenhagen University
Hospital, Rigshospitalet, Copenhagen, Denmark; 3Department of Pedia-
tric Dentistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso,
Chile; 4Department of Pedodontics, Institute of Odontology, Gothenburg
University, Gothenburg, Sweden; 5Department of Dentistry, Hennepin
County Medical Center and University of Minnesota School of Dentistry,
Minneapolis, MN, USA; 6Department of Surgical Sciences, Faculty of
Dentistry, Health Sciences Center, Kuwait University, Kuwait City, Kuwait;
7
Department of Dentistry, University of Verona, Verona, Italy; 8Depart-
ment of Endodontics, University of Washington, Seattle, WA, USA; 9Pedi-
atric Dentistry, Leeds Dental Institute and Bradford District Care Trust
Salaried Dental Service, Leeds, UK; 10Department of Endodontics, Univer-
sity of Maryland School of Dentistry, Baltimore, MD, USA; 11Orthodontic
Clinic, Folktandvrden, Uppsala, Sweden; 12Private Practice, University of
Queensland, Brisbane, QLD, Australia; 13Department of Pediatric Den-
tistry, Faculty of Dentistry, Universidad de Valparaiso, Valparaiso, Chile;
14Private Practice, Amagun, Aichi, Japan.
Correspondence to Barbro Malmgren, DDS, PhD, DrMed, Karolinska
Institutet, Department of Dental Medicine, Division of Pediatric Dentistry,
POB 4064, SE-14104 Huddinge, Sweden.
Tel.: +46 739851788
Fax: +46 8 7743395
e-mail: barbro.malmgren@ki.se
* Members of the Task Group.

Whenever referring to IADT Guidelines, the original article,


(Dent Traumatol 2012;28:174-182) should always be used as
reference.

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

ENDORSEMENTS 341
REFERENCE MANUAL V 37 / NO 6 15 / 16

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

342 ENDORSEMENTS
AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

ENDORSEMENTS 343
REFERENCE MANUAL V 37 / NO 6 15 / 16

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

344 ENDORSEMENTS
AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

ENDORSEMENTS 345
REFERENCE MANUAL V 37 / NO 6 15 / 16

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

346 ENDORSEMENTS
AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

ENDORSEMENTS 347
REFERENCE MANUAL V 37 / NO 6 15 / 16

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

348 ENDORSEMENTS
AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

Copyright 2012, International Association of Dental Traumatology, www.iadt-dentaltrauma.org.


Reprinted with permission of the International Association of Dental Traumatology (IADT). Dental Traumatology 2012;28:174-182; doi: 10.1111/j.1600-9657.2012.01146.x
Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1600-9657.2012.01146.x/full.

ENDORSEMENTS 349